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1922694090
JACQUELINE PEDERSEN
SAN ANTONIO, TX
NPI
1922694090
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: TX DT85216)
Enumeration Date
2020-12-14
Last Update Date
2020-12-14
Business Address
JACQUELINE PEDERSEN RDN, LD
12235 VANCE JACKSON RD APT 932
SAN ANTONIO, TX 78230-5965
Phone number: 319-899-7746
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Mailing Address
JACQUELINE PEDERSEN RDN, LD
12235 VANCE JACKSON RD APT 932
SAN ANTONIO, TX 78230-5965
Phone number: 319-899-7746
Copy
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